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Biomedical subjects

I W Graham

Publications and source records attributed to I W Graham.

5 recordsLinked to original sources
PubMed2000

Reflective practice and its role in mental health nurses' practice development: a year-long study.

The study reported in this paper lasted over a year, and identifies a conceptual framework of nursing practice based upon a relationship-building process. It also identifies six characteristics of nursing roles inherent within the practice of mental health nurses on a Nursing Development Unit. The paper presents a structure and process of reflection for nursing practice as illustrated by the work of a group of nurses working in a NDU. The purpose of the study was to help them better understand their work with patients. The findings from the study are used to explore how the nurses described and implemented individualized, patient-focused care. This care was based upon the ability of the nurse to communicate well and to build a relationship with a patient, bound within a context of change.

Humans↗
PubMed1999

Reflective narrative and dementia care.

This study was an enquiry into how clinical supervision could enable a team of six community psychiatric nurses to provide improved patient-centred care. It also examined how feelings of burn-out, stress and tedium when caring for people with dementia could be relieved. The methodology used in the study analysed the process, enabling the findings to be studied. This is new paradigm research, requiring the researcher and participants to be equal and active coenquirers into the process facilitating the enquiry. Six community psychiatric nurses allowed their period of supervision to be recorded over six months in order to identify relevant issues of concern and resolution in their practice. It was anticipated that the experiences revealed during supervision would provide a means by which the nurses could develop their skill and knowledge and improve their care-giving. The findings suggest that the education of community psychiatric nurses needs to enable them to develop the ability to demonstrate emotional competence and to carry out self-questioning.

Attitude of Health Personnel↗
PubMed1995

Reflective practice: using the action learning group mechanism.

Many practising nurses, midwives, health visitors and their educators recognise the phenomena of the theory-practice gap. Due to social, economic and political developments it is now crucial for the gap to be closed. This paper provides a commentary on how one mechanism, called an action learning group (ALG), has been utilised in a post-registration diploma/degree programme in Nursing and Midwifery Studies as a method to secure that closure. Presented within the introduction to the paper is a discussion on reflective learning and its understanding by an academic team. The paper then considers the ALG formula with discussion upon its uses and an example of student experience. The paper concludes by discussing the aspirations of the academic team with regard to ALGs and their role in post-registration nurse, midwife and health visitor education.

Education, Nursing, Continuing↗
PubMed1992

Reconstructing nursing: a coronary care perspective of the primary nurse philosophy.

The philosophy underpinning the system of primary nursing and how it relates to the reconstruction of nursing merits consideration. This includes examination of the relationship of primary nursing to the concept and practice of caring: the movement of nursing to humanitarianism from pragmatism and the relationship to a process rather than a traditional system of nursing. Arguments concerning these topics are presented here and discussed in relation to the experiences and practice of a group of nurses in a Coronary Care Unit (CCU) before and after the introduction of a system of nursing based on the primary care philosophy.

Altruism↗